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Foot & Ankle Problems Message Board

Foot & Ankle Problems Board Index

I had bunion/hammertoe surgery on my left foot 2 1/2 years ago. The bunion required two screws for the repair and the rigid hammertoe had a portion of the joint removed. I recovered from the surgery without complications except that the foot still has pain, swelling and inflamation. There is no infection or stress fracture. Current x-rays show that my big toe is now too short (although the joint space is good) and this has apparently shifted my weight bearing to the 2nd and 3rd toes. The 2nd toe (which had the hammertoe repair) is now out of alignment and is not attached properly at the base joint. (doc says it comes 30-40% out of the joint). The 2nd toe also has some bone degeneration.

There are two surgical options being offered. The first is to fuse the big toe to create length and the second is to add an artificial bone graft to create length without fusing the joint.

I'm a 52 year old female teacher. I have constant pain in my foot as well as muscle spasms and some "nerve" type pain.

I'm worried about how much function will I lose if I choose to have the fusion of the big toe. Does anyone have any advice?

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